ASPEN DERMATOPATHOLOGY (NPI# 1689943300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689943300 |
| Entity Type | Organization |
| Organization Name | ASPEN DERMATOPATHOLOGY |
| Other Organization Name | DBA ALPINE DERMATOPATHOLOGY |
| Practice Address |
732 N Main St Springville UT 84663-1034 |
| Mailing Address |
114 E 800 N Spanish Fork UT 84660-1209 |
| Practice Telephone | 8012108989 |
| Practice Fax Number | 8017230126 |
| Mailing Telephone | 8017941490 |
| Mailing Fax Number | 8017940316 |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2012-08-14 |
| Authorized Official Name | WARREN PETERSON (PHYSICIAN) |
| Authorized Official Telephone | 8012108989 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 1770634909 | UT | Laboratories |
| Other Name | Type Code |
|---|---|
| DBA Alpine Dermatopathology | Doing Business As Name - Organization |
| Street Address |
732 N MAIN ST |
| City | SPRINGVILLE |
| State | UT |
| Zip Code | 84663-1034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629505839 | Thomas Alan Dutra | Dermatology | 732 N Main St, Springville, UT 84663-1034 | 2017-05-18 |
| 1992144364 | Springville Dermatology & Diagnostics PC | Dermatology | 732 N Main St, Springville, UT 84663-1034 | 2013-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659900835 | Change Academy At Lake of The Ozarks | Residential Treatment Facility, Emotionally Disturbed Children | 266 South Left Fork Hobble Creek Canyon Road, Springville, UT 84663 | 2020-04-08 |
| 1780215269 | Reboot Centers Hobble Creek | Clinical Neuropsychologist | 1154 Left Fork Hobble Creek Canyon Rd, Springville, UT 84663 | 2020-02-03 |
| 1063053866 | Jesus Lopez | Clinic/Center | 1461 Archmore Loop, Springville, UT 84663 | 2019-10-02 |
| 1689109506 | Cd Pharmacy LLC | Pharmacy | 863 W 450 S, Suite 201, Springville, UT 84663 | 2017-04-28 |
| 1215479225 | Jaydynn Cusworth | Behavior Technician | 692 S 2800 W Unit I 101, Springville, UT 84663 | 2016-11-08 |
| 1245699602 | Pamela Jamison | Speech-Language Pathologist | 1072 Wildflower Way, Springville, UT 84663 | 2016-02-14 |
| 1013397348 | Lindsay Erickson | Counselor | 470 Buckley Ave, Springville, UT 84663 | 2015-06-02 |
| 1790084903 | Grant Lee Murdoch | Counselor | 1102 N 850 W, Springville, UT 84663 | 2011-03-28 |
| 1306148739 | Siuta Sonny Faaootoa | Counselor | 551 North Main Street, Springville, UT 84663 | 2010-11-17 |
| 1891000790 | Christopher David Westover | Social Worker | 716 N 200 E, Springville, UT 84663 | 2010-08-16 |
| Find all providers in zip 84663 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019271 | Quest Diagnostics Clinical Laboratories Inc. | Clinical Medical Laboratory | 942 Chambers St Ste 15, South Ogden, UT 84403-5131 | 2020-10-01 |
| 1679187967 | Quansys Biosciences, Inc. | Clinical Medical Laboratory | 365 N 600 W, Logan, UT 84321-3741 | 2020-09-03 |
| 1376152983 | Sports Drug Testing Laboratory, LLC | Clinical Medical Laboratory | 10644 S Jordan Gtwy Ste 200, South Jordan, UT 84095-4036 | 2020-07-29 |
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1063033249 | Arches Research, Inc. | Clinical Medical Laboratory | 1960 S 4250 W, Salt Lake City, UT 84104-4836 | 2020-04-29 |
| 1275161671 | Soft Cell L-form Laboratories LLC | Clinical Medical Laboratory | 4616 S Beehive Dr Apt 3, St George, UT 84790-1806 | 2020-03-31 |
| 1003441858 | Southwest Spine and Pain Care Specialists, LLC | Clinical Medical Laboratory | 2051 E Red Hills Pkwy Ste 7, St George, UT 84770-8671 | 2020-03-11 |
| 1750915658 | Idbydna Inc. | Clinical Medical Laboratory | 675 S Arapeen Dr Ste 301, Salt Lake City, UT 84108-1223 | 2020-02-28 |
| 1700420361 | Renalytix Ai, Inc. | Clinical Medical Laboratory | 421 S Wakara Way Ste 309, Salt Lake City, UT 84108-3549 | 2019-11-06 |
| 1205481363 | Reveal Laboratories LLC | Clinical Medical Laboratory | 7370 S Creek Rd Ste 204, Sandy, UT 84093-6113 | 2019-08-06 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGVILLE |
| Zip Code | 84663 |
Please comment or provide details below to improve the information on ASPEN DERMATOPATHOLOGY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.